Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $344.00 / $4,848.00 / $16,573.00	Facility		$344.00	$4,848.00	$16,573.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,723.00 / $4,464.00 / $8,976.00	Facility		$1,723.00	$4,464.00	$8,976.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $4,979.42	Facility		$66.00	$100.00	$4,979.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $938.60 / $940.26 / $1,992.00	Facility		$938.60	$940.26	$1,992.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $97.28 / $131.33 / $219.31	Professional		$97.28	$131.33	$219.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $88.53 / $144.85 / $273.06	Professional		$88.53	$144.85	$273.06
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $404.21 / $433.30	Facility		$55.00	$404.21	$433.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $104.17 / $143.05 / $218.87	Facility		$104.17	$143.05	$218.87
United Facility/Professional Facility Modifier Low / Median / High Price $1,371.00 / $2,699.00 / $7,399.00	Facility		$1,371.00	$2,699.00	$7,399.00